The nurse is caring for a client who has an ulceration appearing as a deep crater with undermining of adjacent tissue loss.The nurse recognizes that this client has which type of ulcer present?
A)stage I
B)stage II
C)stage III
D)stage IV

Question

Quizplus · Accepted Answer

The degree of tissue damage in pressure ulcers has been classified into four stages.In stage I pressure ulcers,skin is intact and nonblanchable erythema is present.In stage II,a superficial ulcer (abrasion,blister,or shallow crater)is present and there is partial-thickness skin loss.In stage III,a deep crater with or without undermining of adjacent tissue loss is present and there is full-thickness skin loss.In stage IV,there is extensive destruction;tissue necrosis;damage to muscle,bone,or supporting structures;and full-thickness skin loss.

The Nurse Is Caring for a Client Who Has an Ulceration